Children, Families and Schools

CHILDREN, FAMILIES AND SCHOOLS

CSC/LAC/PPR1

LOOKED AFTER CHILD / YOUNG PERSON’S

RESIDENTIAL

PLACEMENT PLAN

The child/young person’s social worker is responsible for completing this placement plan. It should be completed with the parent(s), child/young person (if of sufficient understanding) and the carer. Where it is not possible to include the information required, the reasons for this must be recorded.

Where it is not possible to draw up the placement plan in advance of the placement, it must be completed within five working days of the placement. In any event, the carer must be provided with the placement plan information highlighted in bold below immediately the child is placed, with further detail included in the completed plan within the five days.

Child’s Name: / Social Worker/Team Manager
Date of Birth: / CISRO
Child’s First Language: / Address/contact number for Social Worker and Team
Current Placement Address: / Date Placed:
Home Address: / Address prior to placement and reasons for change:
Child’s Family details and contact numbers: / Anyone to whom child’s whereabouts should not be divulged:
Circumstances leading to the child becoming looked after:
Section / Title / Comments/Expectations/Roles
1 / Key requirements for this placement, (emergency, bridging, short term, respite, long term)
2 / Introductory visits prior to placement.
If yes, give details: dates, who was present.
3 / Matching considerations including the child’s personal history, assessed needs and suitability of the accommodation/sleeping arrangements (Detail the process, decision maker and considerations)
4 / Legal Status
5 / The Care Plan (please tick to indicate carer has a copy) including the following components: / Yes / No
The long term plan/the child’s plan / /
The Health Plan / /
Personal Education Plan / /
Plan for contact / /
Reasons for care plan not yet being in place (if applicable), and target date for completion and copy being given to carer regarding all the components / /
6 / What are the objectives and planned timescale of the placement
7 / Health Plan, expectations and responsibilities, including the following:
Is a health plan in place, if not when will it be completed?
Immediate alerts if health plan not in place:

Does the child have any health problems and if so what?
Does the child have a disability and if so what?
Special equipment: provision and training
What treatments should be taken (medicines/ointments/inhalers) and how often
Allergies and treatment
Therapy services
Dietary needs
Dental appointments/problems
Include name and hospital/clinic contact of any health specialist involved
Date of the last appointment
Date of the next appointment
Frequency of appointments
When the SDQ should be completed, if applicable
Any other special needs – e.g. hair care, skin care

7.1 / Emotional and behavioural needs and placement strategies
7.2 / Arrangements for consent for medical treatment, where deemed by an appropriately qualified medical practitioner to be in the best interest of the child, specifically:

Emergency surgical, medical and dental interventions including anaesthetics

Routine interventions and treatments including immunisations

Planned surgical interventions and treatments

Specific complex health needs e.g. psychological interventions, tube feeding

Non prescriptive medicines for example, painkillers

Medical Consent:

Signatures of parents/people with parental responsibility to confirm the issues of consent has been explained and agreement is given to the above consent arrangements. Please specify if agreement is withheld for some or all of the above, with detail, and reasons for this if applicable.

Signature: / Date:
Designation: / Date:
Signature: / Date:
Designation: / Date:
Comments:
8 / Personal Education Plan and placement requirements, including the following where applicable:
Needs arising from SEN statement
Extra tuition
Who will attend parents’ evenings and school events
9 / Cultural, religious and linguistic needs and practice implications
10 / Social presentation, social skills milestones and identified placement needs
11 / Leisure and recreational interests to be pursued whilst child/young person is in this placement:
12 / Family and social relationships and contact arrangements – who, what, when, frequency, review arrangements
13 / Day to day needs/routines, e.g. detail of bedtime and mealtime routines
14 / Any additional preferences, fears, dislikes or issues which need to be taken into account
15 / Visiting arrangements by child’s social care worker and frequency of LAC Reviews/Planning Meetings
16 / Risk Factors
Risk assessment – attach a completed copy, signed and dated by the Children’s Social Care Social Worker and Residential Keyworker.
17 / Independent visitor arrangements
18 / Pocket Money/savings arrangements
19 / School uniform arrangements
20 / Child Protection procedures – Safer Care Plan confirmed and signed in place/updated TCI Policy in place
21 / Fire Safety/Fire Escape Plan discussed
22 / Financial arrangements for supporting the child/young person whilst in placement:, including funding of school trips and provision for any special needs
23 / Details of carers support/respite care arrangements
24 / Children’s Complaints and representations Policy and Participation Team contacts
25 / Arrangements for Life Story Work
26 / Consent/Agreement for involvement in school trips, overnight stays, adventurous activities, haircuts and other day to day issues

Activities/Specific Issues Consent Agreement:

Signatures of parents/people with parental responsibility to confirm that the issue of consent has been explained and agreement is given to the above consent arrangements.

Please specify if agreement is withheld for some or all of the above, with detail and reasons for this if applicable.

Signature: / Date:
Designation: / Date:
Signature: / Date:
Designation: / Date:
Comments:
27 / Carer record requirements of the Placing social Worker in respect of the child/young person placed (e.g. Monthly reports; Incidents, Accident & Illness Reports)
28 / Does the child/young person have a Birth Certificate, Passport and Savings Book?
If yes, are these to be provided to the foster carer for the duration of the placement.
29 / Child/Young Person’s opinions and views of the placement
30 / Family/Parents’/Guardian’s opinions and views of the placement
31 / Placement Plan Review Date
LAC Review Date
32 / Important Contact:
Include in this list all those agencies involved in the child/young person’s care, as appropriate, or mark N/A
Agency / Name / Address / Telephone / Email
School/Nursery
Previous school if applicable
Designated Teacher
GP
Dentist
Health Visitor
IRO
Emergency Duty Team
Child’s Social Worker
Children’s Social Care Manager
Independent visitor
Personal Adviser
Fostering Social Worker
Participation Team
Other professionals involved
33 / Additional information for placement with parent arrangements: (Details of supports and services are included above (23) ).
In signing this placement plan:
i) The parent agrees to notify East Riding of Yorkshire Council of any relevant changes in circumstances.
ii) The parent undertakes to keep the information provided about the child and family or other persons confidential.
iii) The parent accepts that the Council has a duty to safeguard and promote the welfare of the child including the duty to remove if necessary.
iv) The parent will obtain in advance, approval for the child living even temporarily in another household.
v) The parent will not make arrangments for the child to live in a household which is not the parent’s. If the need for a change in accommodation arises, this must be discussed with the social worker in the first instance and a new agreement drawn up and authorised by the nominated officer.
vi) Similarly, should there be a need to make any change to the agreed arrangements, this must be discussed with the social worker in the first instance and any new arrangements authorised through a revised plan agreed by the nominated officer.
vii) The placement will be terminated if the placement plan is breached without due cause and/or the child’s well-being and safety is put at risk.
Young Person (where applicable)
Print Name:Signature:
Date:
Parent(s)/person with parental responsibility:
We/I agree to name of child/young person being accommodated by East Riding of Yorkshire Council at placement address.
Name:Signature:
Date
Name:Signature:
Date:
Carer/Home Representative/Key Worker agreeing to comply with regulatory responsibilities and the arrangements of this placement plan:
Print Name:Signature:
Date
Child/young person’s Social Worker:
Print Name:Signature:
Date

Parental Consent Agreement

Parent(s)/person with parental responsibility:-

Name(s):…………………………………………….

…………………………………………….

We/I agree to ______(name of child/young person) being accommodated by the East Riding of Yorkshire Council at ______

I understand that a placement plan for ______(name of child/young person) will be prepared within five days of placement and I will be provided with a copy.

In providing my consent to ______(name of child/young person) being accommodated by the East Riding of Yorkshire Council I also give my consent to the following for the period that ______(name of child/young person) is accommodated by this Local Authority.

Emergency surgical, medical and dental interventions including anaesthetics.

Routine interventions and treatments, including immunisation.

Planned surgical interventions and treatments.

Specific complex health needs e.g. psychological interventions, tube feeding.

Non-specific medicines for example painkillers

Non invasive medical treatments e.g. routine dental work/fillings.

Attendance with child at health appointments.

Attendance with child at dental appointments.

Attendance at school parents evenings.

Haircuts

School trips

Overnight stays with friends

Adventurous activities (e.g. scouts, leisure pursuits)

Any other specified

I understand that should ______(name of child/young person) need any medical or dental treatment other than the above, I will be asked for specific consent.

I have provided emergency contact details in order to ensure ______(name of child/young person) can have any necessary treatment without delay.

Name:………………………………………..

Signature:……………………………………….

Date:……………………………………….

Name:………………………………………..

Signature:……………………………………….

Date:……………………………………….

January 2014 Children’s Social Care